Matthew J Fackrell DO

  • NPI 1215968045
According to our database, the NPI number for Matthew J Fackrell DO is 1215968045 and activated since 17 years ago. Matthew J Fackrell DO is an individual provider who specializes in Family Medicine, and the primary practice location is 1441 Parkway Dr, Blackfoot, ID 83221. You can also contact Matthew J Fackrell DO via telephone number is (208) 785-2600. Provider NPI information was last updated on 03/07/2008.

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Overview of Matthew J Fackrell DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/06/2006
  • Last updated: 03/07/2008

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 02002954A
  • License State: IN

Provider Mailing Address

  • Address: 1441 Parkway Dr
    Blackfoot, ID 83221
  • Phone: 208-785-2600
  • Fax: 208-785-8185

Provider Practice Location

  • Address: 1441 Parkway Dr
    Blackfoot, ID 83221
  • Phone: 208-785-2600
  • Fax: 208-785-8185

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 02002954A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1374716
  • Identifier Type: Other
  • Identifier State: ID
  • Issuer: PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Matthew J Fackrell DO?
  • A: The npi number for Matthew J Fackrell DO is 1215968045.
  • Q: What are Matthew J Fackrell DO's specialties?
  • A: Matthew J Fackrell DO's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Matthew J Fackrell DO?
  • A: The medical license number for Matthew J Fackrell DO is 02002954A and issued in IN in USA.
  • Q: Where is Matthew J Fackrell DO practice location?
  • A: Matthew J Fackrell DO is practicing at 1441 Parkway Dr, Blackfoot, ID 83221.
  • Q: How to contact Matthew J Fackrell DO?
  • A: You can contact Matthew J Fackrell DO via 208-785-2600.